实用肝脏病杂志Issue(1)：55-58,4.DOI:10.3969/j.issn.1672-5069.2015.01.014
超声对肝豆状核变性患者脾切除前后肝脏血流变化的监测及意义
Ultrasonography in monitoring hepatic hemodynamics before and after splenectomy in patients with hepatolenticular degeneration
王佳佳 1王金萍 1许红强 1陈晓艺 1李保启1
作者信息
- 1. 230031 合肥市 安徽中医药大学第一附属医院超声科
- 折叠
摘要
Abstract
Objective To observe the changes of hepatic hemodynamics by ultrasonography before and after splenectomy in patients with hepatolenticular degeneration (HLD) complicated by hypersplenism. Methods 108 patients with HLD were recruited and they all received color doppler ultrasonography before and after splenecto-my. The inner diameter and maximum velocity of right portal vein (Vmax),peak systolic velocity (PSV) and re-sistance index(RI) of right hepatic artery were recorded and analyzed. Results The inner diameters of right por-tal vein before and after splenectomy were (9.09±2.16) mm and (8.48±1.88) mm,respectively(P>0.05);Vmax of right portal vein after splenectomy declined remarkably as compared with that before splenectomy [(19.40 ±3.41) cm/s vs.(23.47±5.78) cm/s,P<0.01];PSV and RI of right hepatic artery after splenectomy were significantly higher than those before surgery [(60.71 ±11.85) cm/s vs. (40.33 ±8.83) cm/s and (0.66 ±0.05) vs. (0.63 ±0.05),P<0.01 for both]. Conclusion Prominent changes in blood supply of portal venous system and hepatic artery system in patients with HLD and hypersplenism take place after splenectomy. Ultrasonography can monitor the changes of hepatic hemodynamics and provide information for the evaluation of patients’liver function.关键词
肝豆状核变性/脾切除/超声/门静脉/肝动脉Key words
Hepatolenticular degeneration/Splenectomy/Ultrasonography/Portal Vein/Hepatic artery引用本文复制引用
王佳佳,王金萍,许红强,陈晓艺,李保启..超声对肝豆状核变性患者脾切除前后肝脏血流变化的监测及意义[J].实用肝脏病杂志,2015,(1):55-58,4.
